Individual
MACKENZIE KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 N MICHIGAN AVE, SAGINAW, MI 48602-4316
(989) 583-0000
Mailing address
8926 VAN CLEVE RD, VASSAR, MI 48768-9413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008537
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23T070
—
MI
01
—
5201008537
OT LICENSE STATE OF MICHGAN
MI
Enumeration date
05/02/2018
Last updated
05/02/2018
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